Effectiveness of modified cutting and suture technique for endonasal caudal septoplasty in correcting nasal obstruction and preventing nasal tip projection loss
Abstract Purpose Caudal septoplasty is a difficult procedure. The cutting and suture technique is suitable for caudal septoplasty, but a batten graft is always necessary and bears the risk of nasal tip projection loss. We established a modified cutting and suture technique (MCAST), without using a b...
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| Format: | Article |
| Language: | English |
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SAGE Publications
2021-06-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40463-021-00516-y |
| _version_ | 1827106350912503808 |
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| author | Yu Hosokawa Takeshi Miyawaki Taisuke Akutsu Kazuhiro Omura Shinya Tsumiyama Jiro Iimura Nobuyoshi Otori Hiromi Kojima |
| author_facet | Yu Hosokawa Takeshi Miyawaki Taisuke Akutsu Kazuhiro Omura Shinya Tsumiyama Jiro Iimura Nobuyoshi Otori Hiromi Kojima |
| author_sort | Yu Hosokawa |
| collection | DOAJ |
| description | Abstract Purpose Caudal septoplasty is a difficult procedure. The cutting and suture technique is suitable for caudal septoplasty, but a batten graft is always necessary and bears the risk of nasal tip projection loss. We established a modified cutting and suture technique (MCAST), without using a batten graft, and investigated its effectiveness in correcting nasal obstruction and preventing nasal tip projection loss. Methods We retrospectively reviewed the medical records of 22 patients who underwent caudal septoplasty using MCAST. Subjective assessment by Nasal Obstruction Symptom Evaluation (NOSE) score and objective assessment by computed tomography (CT) were performed before and after the surgery. For evaluating nasal tip projection, we asked patients about their awareness of external nasal deformity. Additionally, the nasal tip projection was measured by CT and compared before and after surgery. Results The median preoperative NOSE score reduced significantly after MCAST (P < 0.001). On CT, the ratio of the area of the convex side to that of the concave side in the anterior portion of the nasal cavity increased significantly after MCAST (P < 0.001). All patients were unaware of external nasal deformity. There were no significant differences in the mean preoperative and postoperative nasal tip height and nasolabial angle. The mean supra tip height was significantly greater postoperatively than preoperatively (P = 0.02). Conclusions The MCAST was useful for correcting nasal obstruction with caudal septal deviation. There was no postoperative loss of nasal tip projection. The MCAST can be suitable for correcting C-shaped caudal deviations without dislocating the caudal septum from the anterior nasal septum. |
| first_indexed | 2024-04-11T03:23:34Z |
| format | Article |
| id | doaj.art-5164c4fd02314392b36867deb75b14fe |
| institution | Directory Open Access Journal |
| issn | 1916-0216 |
| language | English |
| last_indexed | 2025-03-20T09:53:20Z |
| publishDate | 2021-06-01 |
| publisher | SAGE Publications |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj.art-5164c4fd02314392b36867deb75b14fe2024-09-24T19:56:14ZengSAGE PublicationsJournal of Otolaryngology - Head and Neck Surgery1916-02162021-06-015011710.1186/s40463-021-00516-yEffectiveness of modified cutting and suture technique for endonasal caudal septoplasty in correcting nasal obstruction and preventing nasal tip projection lossYu Hosokawa0Takeshi Miyawaki1Taisuke Akutsu2Kazuhiro Omura3Shinya Tsumiyama4Jiro Iimura5Nobuyoshi Otori6Hiromi Kojima7Department of Otorhinolaryngology, The Jikei University School of MedicineSeptorhinoplasty Clinic, The Jikei University HospitalDepartment of Otorhinolaryngology, The Jikei University School of MedicineDepartment of Otorhinolaryngology, The Jikei University School of MedicineSeptorhinoplasty Clinic, The Jikei University HospitalSeptorhinoplasty Clinic, The Jikei University HospitalDepartment of Otorhinolaryngology, The Jikei University School of MedicineDepartment of Otorhinolaryngology, The Jikei University School of MedicineAbstract Purpose Caudal septoplasty is a difficult procedure. The cutting and suture technique is suitable for caudal septoplasty, but a batten graft is always necessary and bears the risk of nasal tip projection loss. We established a modified cutting and suture technique (MCAST), without using a batten graft, and investigated its effectiveness in correcting nasal obstruction and preventing nasal tip projection loss. Methods We retrospectively reviewed the medical records of 22 patients who underwent caudal septoplasty using MCAST. Subjective assessment by Nasal Obstruction Symptom Evaluation (NOSE) score and objective assessment by computed tomography (CT) were performed before and after the surgery. For evaluating nasal tip projection, we asked patients about their awareness of external nasal deformity. Additionally, the nasal tip projection was measured by CT and compared before and after surgery. Results The median preoperative NOSE score reduced significantly after MCAST (P < 0.001). On CT, the ratio of the area of the convex side to that of the concave side in the anterior portion of the nasal cavity increased significantly after MCAST (P < 0.001). All patients were unaware of external nasal deformity. There were no significant differences in the mean preoperative and postoperative nasal tip height and nasolabial angle. The mean supra tip height was significantly greater postoperatively than preoperatively (P = 0.02). Conclusions The MCAST was useful for correcting nasal obstruction with caudal septal deviation. There was no postoperative loss of nasal tip projection. The MCAST can be suitable for correcting C-shaped caudal deviations without dislocating the caudal septum from the anterior nasal septum.https://doi.org/10.1186/s40463-021-00516-yModified cutting and suture techniqueCaudal septoplastyEndonasal septoplastyCaudal septal deviationNasal obstructionNasal tip projection |
| spellingShingle | Yu Hosokawa Takeshi Miyawaki Taisuke Akutsu Kazuhiro Omura Shinya Tsumiyama Jiro Iimura Nobuyoshi Otori Hiromi Kojima Effectiveness of modified cutting and suture technique for endonasal caudal septoplasty in correcting nasal obstruction and preventing nasal tip projection loss Journal of Otolaryngology - Head and Neck Surgery Modified cutting and suture technique Caudal septoplasty Endonasal septoplasty Caudal septal deviation Nasal obstruction Nasal tip projection |
| title | Effectiveness of modified cutting and suture technique for endonasal caudal septoplasty in correcting nasal obstruction and preventing nasal tip projection loss |
| title_full | Effectiveness of modified cutting and suture technique for endonasal caudal septoplasty in correcting nasal obstruction and preventing nasal tip projection loss |
| title_fullStr | Effectiveness of modified cutting and suture technique for endonasal caudal septoplasty in correcting nasal obstruction and preventing nasal tip projection loss |
| title_full_unstemmed | Effectiveness of modified cutting and suture technique for endonasal caudal septoplasty in correcting nasal obstruction and preventing nasal tip projection loss |
| title_short | Effectiveness of modified cutting and suture technique for endonasal caudal septoplasty in correcting nasal obstruction and preventing nasal tip projection loss |
| title_sort | effectiveness of modified cutting and suture technique for endonasal caudal septoplasty in correcting nasal obstruction and preventing nasal tip projection loss |
| topic | Modified cutting and suture technique Caudal septoplasty Endonasal septoplasty Caudal septal deviation Nasal obstruction Nasal tip projection |
| url | https://doi.org/10.1186/s40463-021-00516-y |
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